Quarterly Reports and Program Plan
Send Quarterly Reports and Program Plans to Ebony Hoskin.
- MIECHV Formula Home Visit Quarterly Report Form: For MIECHV Home Visiting programs
- MIECHV Formula CI Quarterly Report Form For MIECHV Coordinated Intake agencies
- CI Monthly Referral Tracking Form: For MIECHV Coordinated Intake agencies
- CI Data Tracking Guide: For MIECHV Coordinated Intake agencies
- MIECHV Program Plan: ALL MIECHV programs are required to submit a MIECHV Program Plan annually.
Policies & Procedures and Program Monitoring
MIECHV programs periodically undergo an On-Site Program Quality Review conducted by DHS staff and Maternal Child Health Nurses.
Questions about program monitoring can be directed to Kathy Staten.
Coordinated Intake and Community Systems Development
Recruitment, Engagement, and Retention
- Disengagement and Re-enrollment Policy
- Paternal Engagement and Retention Policy
- Recruitment Policy
- Transition Policy
Submit Fiscal Forms to Ebony Hoskin and Stacey McKeever.
- Annual Spending Plan Form: Submit when requested for a new grant year.
- DHS Revision of Budget Form: Submit if transfer is $1,000 or greater than 10% of the line item.
- MIECHV Additional Budget Request Form: Submit when requesting funds above the total amount of your approved budget for the fiscal year.
- 4P’s Plus©
- 4P’s Plus© assessments are offered in English and Spanish.
- Instructions for Sending Completed 4P’s Plus© Forms: OECD asks that all programs in Illinois using the 4P’s Plus© follow these directions to send unidentified completed 4P’s Plus© to the Children’s Research Triangle so they can provide the state with a full report on 4P’s Plus© To view past reports click here.
- For more information about 4P’s Plus©, please click here.
- Coordinated Intake Assessment Tool (CIAT): This is the intake tool that all Illinois MIECHV communities must use when recruiting participants. Non-MIECHV programs are permitted to use it as well. For more information about this tool and its use, please contact Katherine Staten at firstname.lastname@example.org.
- Relationship Assessment Tool: This is the MIECHV required intimate partner violence (IPV) assessment tool, and it is available in English and Spanish. To learn more about screening for IPV, please click here.
- Edinburgh Postnatal Depression Scale (EPDS): This is the MIECHV required depression screening tool, and it is available in English and Spanish. For more information about maternal depression, please click here.
Provider calls will be scheduled in September and March. The next call is Thursday, September 6th from 10-1130am.
Materials from the April 2018 call can be found April 2018 Fiscal Provider Call.
This website is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number HRSA-16-172 Maternal, Infant and Early Childhood Home Visiting Program – Formula. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.
It takes a village. Illinois home visiting collaborates with numerous partners in order to support young children and families. These partners include:
Chapin Hall at the University of Chicago • Children’s Home + Aid • Easter Seals • Ever Thrive Illinois • Family Focus • Fussy Baby Network at the Erikson Institute • Heartland Alliance • Illinois Action for Children • Illinois Association for Infant Mental Health • Illinois Chapter of the American Academy of Pediatrics • Illinois Children’s Mental Health Partnership • Illinois Childhood Trauma Coalition • Illinois Coalition Against Domestic Violence • Latino Policy Forum • Metropolitan Family Services • Mothers and Babies Program at Northwestern University • Prevent Child Abuse Illinois • Robert R. McCormick Foundation • Sargent Shriver National Center on Poverty Law • The Irving Harris Foundation • The Ounce of Prevention Fund • Voices for Illinois Children